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CITY OF "NSTRUCTION <br />everett PERMIT PERMIT NO. 19532 <br />259-8745 <br />ja DEMOLITION ❑ COMBINATION ❑ BUILDING ❑ MECHANICAL ❑ PLUMBING ❑ SIGN <br />OWNER MAIL ADDRESS CITY ZIP PHONE <br />Mobile Oil 6dm P.O. Box 8268 Kirkland, WA 98083 828-0707 <br />ARCHITECT OR DESIGNER MAIL ADDRESS CITY ZIP PHONE <br />GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE <br />Joe Hall Const. Inc. 5303 Pacific Hwy #276 Fife, WA 98424 JOEHAC259RT <br />MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE• <br />MAIL ADDRESS <br />ZIP PHONE LICENSE <br />CLASS OF WORK <br />❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR qDEMOUTION ❑ BUILDING RELOCATION <br />VALUATION OF WORK <br />f <br />Tear down 2 bldg. (61'x37'8" & B'xl4') back fill, cover w/crushed rock. <br />HEATSOURCE <br />❑ ELECTRICITY ❑ GAS ❑ WOODSTOVE ❑ OTHER <br />PROPOSED USE OF BUILDING <br />BMYY Bulk paint storage. <br />I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS <br />APPLICATION AND KNOW THE SAME TO BE TRUE AND <br />CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES <br />GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH <br />WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A <br />PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO <br />VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER <br />STATE OR LOCAL LAW REGULATING CONSTRUCTION OR <br />THE PERFORMANCE OF CONSTRUCTION. <br />SIG F CONTRACTOR, AUTHORIZED AGENT. OR OWNER DATE <br />LEGAL DESCRIPTION OF PROPERTY ISHOW BELOW OR ATTACH FOUR COPIESI <br />LOT — BLOCK _ OF <br />See Attached <br />p� <br />1� <br />JOB ADDRESS � <br />2r731 FEDE►k <br />PLUMBING <br />MECHANICAL <br />NO. <br />TYPE OF FIXTURE OR ITEM <br />FEE <br />NO. <br />TYPE OF EOUIPMENT <br />FEE <br />WATER CLOSET (TOILET) <br />A/C - A/HNDLG UNITS - H.P. <br />BATHTUB <br />REFRIGERATION UNITS - H.P. EA. <br />LAVATORY (WASH BASIN) <br />BOILERS - B.T.0 M.P. <br />SHOWER <br />GAS FIRED ABC. UNITS - B.T.U. <br />KITCHEN SINK & DISR <br />FORCED AIR SYSTEMS — 8.T.0 M EA. <br />DISHWASHER <br />WALL HEATERS —8.T. U. M <br />LAUNDRYTRAY <br />to <br />UNIT HEATERS — BTU. M <br />CLOTHES WASHER <br />EVAPORATIVE COOLERS <br />URINAL <br />AOTHES DRYERS <br />DRINKING FOUNTAIN <br />VENTILATION FAN <br />c <br />FLOOR DRAIN <br />RANGE HOOD <br />BACKFLOW PREVENTERS <br />WATER HEATER <br />ROOF DRAINS — RAINLEADERS <br />WOOD STOVE <br />"v <br />SINK (SERVICE — BAR, ETC.) <br />Q <br />METAL FIREPLACE & CHIMNEY <br />FIREPLACE INSERT <br />HEAT PUMP <br />GAS PIPING <br />EXHAUSTFAN <br />SUBTOTAL <br />f <br />SUBTOTAL <br />PERMIT <br />f <br />PERMIT <br />TOTALFEE <br />$ <br />TOTALFEE <br />FRONT SETBACK <br />REAR SETBACK <br />SIDE SETBACK <br />PLAN CHECK NUMBER <br />FEE <br />RECEIPT NO. <br />USE ZONE <br />LOT AREA <br />VACANT SITE <br />❑YES ❑NO <br />FEES <br />VALUATION <br />FEE <br />BUILDING <br />S <br />TYPE OF CONS! <br />OCCUPANCY GROUP <br />NO OF DWELLING UNITS <br />PLUMBING <br />SIZE OF BLDG. <br />NO OF STORIES <br />MAX OCC LOAD <br />MECHANICAL <br />FIRE SPRINKLERS REQUIRED ❑ YES ❑ NO <br />INVESTIGATION FEE <br />Sec. 304(e) <br />STATE BUILDING SURCHARGE <br />STATE ENERGY SURCHARGE <br />APPLICATION ACC RV <br />S.H. <br />PLANSCHECKEDDY <br />APPR FOR ISSUANCE By <br />DRIVEWAY PERMIT <br />TOTAL <br />3 <br />50 <br />ocowr "wi mennu <br />WHEN PROPERLY VALIDATED (IN THIS SPACE) THIS IS YOUR PERMIT <br />N <br />Cn <br />LO <br />Q7 <br />